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New Patient Office or Other Outpatient ServicesCPT® Code 99202 - New Patient Office or Other Outpatient Services - Codify by AAPC. CPT. Evaluation and Management Services. Office or Other Outpatient Services. New Patient Office or Other Outpatient Services.
CPT® code 99211 is defined by the 2011 CPT Standard Edition manual as: "Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician.
Established patient office visitCPT® code 99213: Established patient office visit, 20-29 minutes | American Medical Association.
CPT® code 99203: New patient office or other outpatient visit, 30-44 minutes.
CPT 99211 Description: An outpatient visit or office visit of an established patient. A qualified healthcare professional (physician or other) may not be required. CPT 99212 Description: An outpatient visit or office visit of an established patient. The visit involves management and evaluation.
CPT® code 99212: Established patient office or other outpatient visit, 10-19 minutes.
CPT® code 99204: New patient office or other outpatient visit, 45-59 minutes.
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity.
A tip for billing 99212 is that the presenting problems are usually self-limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. A tip for code 99213 is to think of expanded visits as a sum of the continued symptoms or another extended form of the problem.
99203 combines the presenting problem (and decision making) of 99213 with the history and physical of 99214. All require four HPI elements except 99213.
Typical times for new patient office visitsCPT codeTypical time9920220 minutes9920330 minutes9920445 minutes9920560 minutes1 more row•Feb 9, 2018
For new patient visits most doctors will bill 99203 (low complexity) or 99204 (moderate complexity) These codes pay $122.69 and $184.52 respectively. So, if you see a new doctor and your medical case is moderately complex you could expect to pay almost $37 for that visit.